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Lifetime Risk Assessment of Lung Cancer Incidence for Nonsmokers in Japan Considering the Joint Effect of Radiation and Smoking Based on the Life Span Study of Atomic Bomb Survivors

  • Shimada, Kazumasa;Kai, Michiaki
    • Journal of Radiation Protection and Research
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    • v.46 no.3
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    • pp.83-97
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    • 2021
  • Background: The lifetime risk of lung cancer incidence due to radiation for nonsmokers is overestimated because of the use of the average cancer baseline risk among a mixed population, including smokers. In recent years, the generalized multiplicative (GM)-excess relative risk (ERR) model has been developed in the life span study of atomic bomb survivors to consider the joint effect of radiation and smoking. Based on this background, this paper discusses the issues of radiation risk assessment considering smoking in two parts. Materials and Methods: In Part 1, we proposed a simple method of estimating the baseline risk for nonsmokers using current smoking data. We performed sensitivity analysis on baseline risk estimation to discuss the birth cohort effects. In Part 2, we applied the GM-ERR model for Japanese smokers to calculate lifetime attributable risk (LAR). We also performed a sensitivity analysis using other ERR models (e.g., simple additive (SA)-ERR model). Results and Discussion: In Part 1, the lifetime baseline risk from mixed population including smokers to nonsmokers decreased by 54% (44%-60%) for males and 24% (18%-29%) for females. In Part 2, comparison of LAR between SA- and GM-ERR models showed that if the radiation dose was ≤200 mGy or less, the difference between these ERR models was within the standard deviation of LAR due to the uncertainty of smoking information. Conclusion: The use of mixed population for baseline risk assessment overestimates the risk for lung cancer due to low-dose radiation exposure in Japanese males.

The Effects of Task-Oriented Training for Left Trunk Flexion Pattern Using Real-Time Ultrasound Imaging -A Single-Subject Experimental Study- (편측무시 환자에게 실시간 초음파 영상을 이용한 왼쪽 몸통 굽힘 패턴을 적용한 과제지향적 훈련의 효과 -단일 사례 연구-)

  • Kim, Ji-Seon;Ki, Kyong-Il;Kang, Tae-Woo
    • PNF and Movement
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    • v.17 no.1
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    • pp.1-9
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    • 2019
  • Purpose: This study investigates the effects of task-oriented training for a left trunk flexion pattern using real-time ultrasound imaging in a stroke patient with unilateral neglect symptoms. Methods: This study used the ABA experimental design, which is a single-subject research method among individual case research methods. For the ABA experimental design, changes in the degree of unilateral neglect, balance ability, and the thickness of the lateral abdominal muscle were visually analyzed during the baseline process, in the intervention period, and after the intervention. The experiments were performed 24 times in total for 8 times in each of the 3 periods. The unilateral neglect was measured using the Albert test, balance ability was measured using the Berg balance test, and the thickness of the lateral abdominal muscle was measured using ultrasound imaging. The subject was a 50-year-old male patient with unilateral neglect caused by right cerebral hemorrhage. He performed task-oriented training for a voluntary left trunk flexion pattern using real-time ultrasound imaging during the intervention period. Results: The result of comparing the data collected during the intervention period with the data point average of the baseline process showed that balance ability improved and the tendency line was above the baseline. The tendency line of unilateral neglect was below the baseline and showed a decreasing tendency. The thickness of the lateral abdominal muscle showed an increasing trend and the tendency line was above the baseline. Conclusion: The results of this study suggest that the task-oriented training for left trunk flexion pattern using real-time ultrasound imaging has a beneficial effect on balance ability, the degree of unilateral neglect, and the strength of the lateral abdominal muscle in unilateral neglect patients.

The Effect of Action Observation Training on Upper Motor Function in Stroke Patients : A Multiple Bbaseline Design (동작관찰훈련이 뇌졸중 환자의 상지운동기능에 미치는 영향 : 다중기초선연구)

  • Yun, Tae-Won;Park, Hye-Ryoung;Kim, Tae-Yoon;Lee, Moon-Kyu
    • PNF and Movement
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    • v.12 no.2
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    • pp.123-132
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    • 2014
  • Purpose: The discovery of mirror neuron system may positively affect functional recovery; therefore, rehabilitation is needed that is practical for use in clinical settings. The purpose of this study was to examine the effect of action observation training on upper motor function in people who had suffered strokes. Methods: Three elderly patients with stroke, aged to years, were recruited from a stroke rehabilitation center. A nonconcurrent, multiple baseline subject approach was taken, with an A-B-A treatment single-subject experimental design, and the experiment was conducted for 3 weeks. The action observation training was repeated 5 times in 5 days during the intervention period. The arm function, including WMFT, BBT, and grip and pinch strength, was evaluated in each subject 5 times during the baseline period, the intervention period, and the baseline regression period. Results: The results of the evaluation for each subject were presented as mean values and video graphs. The WMFT scores of 2 subjects were improved during the intervention period in comparison with the baseline period, and this improvement was maintained even during the regression baseline period. The BBT and the grip and pinch strength were not improved. Conclusion: Based on these results, we suggest that the action observation training for 5 sessions was effective in improving upper limb function of stroke patients but was not effective in improving hand dexterity or grip and pinch strength.

Effects of Wole Body Vibration Training on Transverse Abdominis Muscle Thickness and Sitting Balance in Spastic Cerebral Palsy (전신진동 자극 훈련이 경직형 뇌성마비 아동의 배가로근 두께 및 앉은 자세 균형에 미치는 영향)

  • Hye-Lyeong Yun;Eun-Ju Lee
    • Journal of Korean Physical Therapy Science
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    • v.30 no.1
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    • pp.72-84
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    • 2023
  • Background: The purpose of this study was to investigate the effect of whole-body vibration stimulation training on the thickness of the transversus abdominis muscle and the balance of sitting posture in children with spastic cerebral palsy. Design: Single-subject design(A-B-A-B). Methods: The subjects of this study were 9 children with spastic cerebral palsy. The study period was 12 weeks in total, and the baseline period and the intervention period were each assigned 3 weeks. Intervention was conducted twice a week for 30 minutes. During the baseline period, trunk stabilization exercise was performed, and during the intervention period, trunk stabilization exercise and whole-body vibration stimulation training were performed. Measurements were carried out at before the experiment, baseline 1, intervention 1, baseline 2, intervention 2 and the total number of measurements was 5 times. Repeated ANOVA was performed to compare the effects of exercise according to the intervention method. Results: The thickness of the transversus abdominis muscle and the balance of the sitting posture were statistically significantly increased compared to the baseline during whole-body vibration stimulation training (p<.05). Conclusion: Therefore, it was confirmed that whole-body vibration stimulation training improved the thickness of the transversus abdominis muscle in children with spastic cerebral palsy and was an effective intervention method for improving sitting posture balance.

The Association Between PM2.5 Exposure and Diabetes Mellitus Among Thai Army Personnel

  • Apisorn Laorattapong;Sarun Poobunjirdkul;Thanapoom Rattananupong;Wiroj Jiamjarasrangsi
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.5
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    • pp.449-457
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    • 2023
  • Objectives: This study investigated the association between baseline exposures to particulate matter with a diameter <2.5 microns (PM2.5) and subsequent temporal changes in PM2.5 exposure with the incidence of type 2 diabetes among Royal Thai Army personnel. Methods: A retrospective cohort study was conducted using nationwide health check-up data from 21 325 Thai Army personnel between 2018 and 2021. Multilevel mixed-effects parametric survival statistics were utilized to analyze the relationship between baseline (i.e., PM2.5-baseline) and subsequent changes (i.e., PM2.5-change) in PM2.5 exposure and the occurrence of type 2 diabetes. Hazard ratios (HRs) and 95% confidence intervals (CIs) were employed to assess this association while considering covariates. Results: There was a significant association between both PM2.5 baseline and PM2.5-change and the incidence of type 2 diabetes in a dose-response manner. Compared to quartile 1, the HRs for quartiles 2 to 4 of PM2.5-baseline were 1.11 (95% CI, 0.74 to 1.65), 1.51 (95% CI, 1.00 to 2.28), and 1.77 (95% CI, 1.07 to 2.93), respectively. Similarly, the HRs for quartiles 2 to 4 of PM2.5-change were 1.41 (95% CI, 1.14 to 1.75), 1.43 (95% CI, 1.13 to 1.81) and 2.40 (95% CI, 1.84 to 3.14), respectively. Conclusions: Our findings contribute to existing evidence regarding the association between short-term and long-term exposure to PM2.5 and the incidence of diabetes among personnel in the Royal Thai Army.

A Method of Intonation Modeling for Corpus-Based Korean Speech Synthesizer (코퍼스 기반 한국어 합성기의 억양 구현 방안)

  • Kim, Jin-Young;Park, Sang-Eon;Eom, Ki-Wan;Choi, Seung-Ho
    • Speech Sciences
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    • v.7 no.2
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    • pp.193-208
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    • 2000
  • This paper describes a multi-step method of intonation modeling for corpus-based Korean speech synthesizer. We selected 1833 sentences considering various syntactic structures and built a corresponding speech corpus uttered by a female announcer. We detected the pitch using laryngograph signals and manually marked the prosodic boundaries on recorded speech, and carried out the tagging of part-of-speech and syntactic analysis on the text. The detected pitch was separated into 3 frequency bands of low, mid, high frequency components which correspond to the baseline, the word tone, and the syllable tone. We predicted them using the CART method and the Viterbi search algorithm with a word-tone-dictionary. In the collected spoken sentences, 1500 sentences were trained and 333 sentences were tested. In the layer of word tone modeling, we compared two methods. One is to predict the word tone corresponding to the mid-frequency components directly and the other is to predict it by multiplying the ratio of the word tone to the baseline by the baseline. The former method resulted in a mean error of 12.37 Hz and the latter in one of 12.41 Hz, similar to each other. In the layer of syllable tone modeling, it resulted in a mean error rate less than 8.3% comparing with the mean pitch, 193.56 Hz of the announcer, so its performance was relatively good.

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Acupuncture for Attenuating Frontal Lobe α Band Asymmetry Induced by Anger: a pilot study

  • Sung-A Kim;Yujin Choi;Seung-Hun Cho
    • Journal of Pharmacopuncture
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    • v.26 no.3
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    • pp.276-284
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    • 2023
  • Objectives: Previous studies have shown that anger can lead to frontal lobe α (8-13 Hz) band asymmetry (FAA) in electroencephalogram (EEG), in accordance with motivational direction. This pilot study aimed to investigate the impact of acupuncture on FAA elicited by anger. Methods: Thirty-four right-handed participants scoring above 75 points on the Novaco Anger Scale were included. Baseline EEG signals were recorded for eight minutes using a 32-channel cap under comfortable conditions. Anger was induced through a nine-minute sequence of Articulated Thoughts in Simulated Situations (ATSS) task. Following that, participants received acupuncture at GB20 and GB21 for 10 minutes. Fast Fourier transform was employed for frequency analysis, and repeated measure ANOVA was conducted for statistical analysis. Results: The results revealed that participants exhibited significantly higher FAA (p = 0.026), particularly in the left hemisphere, after the ATSS task sequence compared to the baseline. During acupuncture treatment, the greater left-sided FAA was significantly reduced (p = 0.027) and reversed. Upon the cessation of acupuncture, FAA returned to a value between the baseline and the anger-evoked stage (p = 0.046). Conclusion: The EEG results of this study revealed that anger stimulation induced an increase in left-sided FAA, which was effectively alleviated by acupuncture. This led to an immediate restoration of FAA asymmetry induced by anger. These findings suggest the potential of acupuncture as a treatment option for reducing FAA associated with anger.

Hyperparameter optimization for Lightweight and Resource-Efficient Deep Learning Model in Human Activity Recognition using Short-range mmWave Radar (mmWave 레이더 기반 사람 행동 인식 딥러닝 모델의 경량화와 자원 효율성을 위한 하이퍼파라미터 최적화 기법)

  • Jiheon Kang
    • IEMEK Journal of Embedded Systems and Applications
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    • v.18 no.6
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    • pp.319-325
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    • 2023
  • In this study, we proposed a method for hyperparameter optimization in the building and training of a deep learning model designed to process point cloud data collected by a millimeter-wave radar system. The primary aim of this study is to facilitate the deployment of a baseline model in resource-constrained IoT devices. We evaluated a RadHAR baseline deep learning model trained on a public dataset composed of point clouds representing five distinct human activities. Additionally, we introduced a coarse-to-fine hyperparameter optimization procedure, showing substantial potential to enhance model efficiency without compromising predictive performance. Experimental results show the feasibility of significantly reducing model size without adversely impacting performance. Specifically, the optimized model demonstrated a 3.3% improvement in classification accuracy despite a 16.8% reduction in number of parameters compared th the baseline model. In conclusion, this research offers valuable insights for the development of deep learning models for resource-constrained IoT devices, underscoring the potential of hyperparameter optimization and model size reduction strategies. This work contributes to enhancing the practicality and usability of deep learning models in real-world environments, where high levels of accuracy and efficiency in data processing and classification tasks are required.

A Study on the Baseline Carbon Stock for Major Species in Korea for Conducting Carbon Offset Projects based on Forest Management (산림경영형 산림탄소상쇄 사업설계를 위한 주요 수종별 베이스라인 흡수량 산정)

  • Kim, Young-Hwan;Jeon, Eo-Jin;Shin, Man-Yong;Chung, Il-Bin;Lee, Sang-Tae;Seo, Kyung-Won;Pho, Jung-Kee
    • Journal of Korean Society of Forest Science
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    • v.103 no.3
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    • pp.439-445
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    • 2014
  • In this study, we developed a dynamic stand yield model to estimate the baseline carbon stock, which is essentially required for a forest carbon offset project based on forest management. For developing the yield model, the data was acquired from the databases of the $5^{th}$ National Forest Inventory. The model was validated by comparing its estimations with field measurements that were conducted from 4 study sites (14 plots with thinning treatments) located in Hong-chun, Hoeng-sung, Yang-yang Daechi and Yang-yang Jungja. The difference between the estimations and the field measurements was less than 5%. Using the dynamic stand yield model, we estimated the changes in stand yield volume and carbon stocks for each species according to the baseline scenarios. As the results, we found that baseline carbon stock was the highest at Quercus acutissima stand (83.01tC/ha), while the lowest at Pinus rigida stand (32.17tC/ha) and Pinus densiflora stand of central region (39.09tC/ha). Hence, a project provider could get more carbon emission credits from an improved forest management project when considering the project with Pinus rigida stand or Pinus densiflora stand (central region). The baseline carbon stock and the dynamic stand yield model developed from this study would be useful for designing carbon offset projects based on improved forest management.

Utility Analysis for Pegfilgrastim in DLBCL Patients on R-CHOP Regimen (항암치료를 받는 미만성거대비세포 림프종 환자에서 페그필그라스팀에 대한 효용성 평가)

  • Jung, Hee Won;Kim, Jeong Mee;Min, Myung Sook;Lee, Young Mee;Bang, Joon Seok
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.3
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    • pp.151-158
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    • 2015
  • Objective: This study was designed to compare pegfilgrastim and filgrastim in diffuse large B-cell lymphoma (DLBCL) patients treated with a rituximab with cyclophosphamide, hydroxydaunorubicin, oncovin, and prednisone (R-CHOP) regimen in terms of clinical efficacy and cost-effectiveness. Method: Clinical efficacy was measured by trough level of absolute neutrophil count (ANC), days of ANC under 50% of baseline value, days of ANC under 90% of baseline value, duration of ANC recovery to baseline value, days of ANC less than $0.5{\times}10^9cells/L$, and difference of peak and trough level of ANC during 1 cycle of R-CHOP regimen. To evaluate cost-effectiveness, total prices of used filgrastim and pegfilgrastim within 1 cycle of R-CHOP were analyzed. Results: In terms of clinical efficacy, trough level of ANC and days to ANC recovery showed statistical significance. The median trough levels of ANC with administration of filgrastim and pegfilgrastim were 0.18 and 1.94 (p = 0.021), respectively, and the median durations of ANC recovery to baseline value were 5.5 days and 2 days (p = 0.023), respectively. For the median days of ANC under 50% of baseline value, days of ANC under 90% of baseline value, days of ANC less than $0.5{\times}10^9cells/L$, and difference of peak and trough level of ANC during 1 cycle of R-CHOP, the pegfilgrastim group performed better than the filgrastim group. However the difference was not statistically significant. In terms of overall expense during 1 cycle of R-CHOP, pegfilgrastim is about 3.43 times more expensive than filgrastim. Conclusion: Pegfilgrastim is more efficient than filgrastim in terms of clinical efficacy. In terms of prices, pegfilgrastim is more expensive than filgrastim for patients, but it is more convenient in clinical use. Therefore, pegfilgrastim should be the preferred choice of G-CSF for neutropenic patients. Further comparative study of pegfilgrastim and filgrastim is needed.